Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system * Provider Data Management and related downstream processes * Manages System ...
Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system * Provider Data Management and related downstream processes * Manages System ...
Industry/Sector Insurance Specialism Operations Management Level Manager & Summary The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Manager, you will play a pivotal ...
Industry/Sector Insurance Specialism Operations Management Level Manager & Summary The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Manager, you will play a pivotal ...
Claims Analyst
Columbus, OH · On-site +1
Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling. This ...
Claims Analyst
Columbus, OH · On-site +1
Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling. This ...
Claims Analyst
Columbus, OH · Remote
Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling. This ...
Quick apply
Claims Analyst
Columbus, OH · Remote
Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling. This ...
Internal Coverage Counsel - Claims
Dublin, OH · On-site +1
As an Internal Coverage Counsel - Claims, you will join a high-impact, in-house legal role where ... Supports operational teams and senior management by providing timely, consistent, and defensible ...
Internal Coverage Counsel - Claims
Dublin, OH · On-site +1
As an Internal Coverage Counsel - Claims, you will join a high-impact, in-house legal role where ... Supports operational teams and senior management by providing timely, consistent, and defensible ...
Operations Manager
Dublin, OH · Hybrid
$71K - $85K/yr
To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
Dublin, OH · Hybrid
$71K - $85K/yr
To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
Dublin, OH · Hybrid
$71K - $85K/yr
To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
Dublin, OH · Hybrid
$71K - $85K/yr
To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
VP Care Team Operations
Dublin, OH · On-site
Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...
VP Care Team Operations
Dublin, OH · On-site
Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...
Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...
Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...
Pharmacy Operations Manager
Columbus, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Columbus, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Columbus, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Columbus, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Powell, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Powell, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Heath, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Heath, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Pharmacy Operations Manager
Powell, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
New
Pharmacy Operations Manager
Powell, OH · On-site
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
New
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...
Claims Operations Manager information
See salary details
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
How much do claims operations manager jobs pay per year?
As of Jul 27, 2026, the average yearly pay for claims operations manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.
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What cities are hiring for Claims Operations Manager jobs? Cities with the most Claims Operations Manager job openings:
What states have the most Claims Operations Manager jobs? States with the most job openings for Claims Operations Manager jobs include:
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Part-time
Medical, Dental, Vision
Posted 17 days ago
Mount Carmel Health System rating
7.9
Based on 18 frontline employees who took The Breakroom Quiz
Job description
Employment Type:Part timeShift:Day Shift
Description:Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system
- Provider Data Management and related downstream processes
- Manages System Configuration functional area purchases and ensures the proper processing of all invoices related to assigned activities.
- Lead the definition, documentation, implementation and continuous improvement of claims adjudication system management policies, standards and processes.
- Supports Claims Audit leadership with the analysis of claims processing metrics to ensure optimal performance.
- Ensures compliance with all regulatory requirements impacting Support Services by collaborating with the Compliance Department and other key functional stakeholders within the organization responsible for execution of policies, standards and processes.
- Establish partnerships and works closely with key operational and clinical staff to ensure claims system configuration accuracy; develop plans to address any potential system inaccuracies or configuration errors.
- Investigate and recommend implementation of tools, techniques and processes with potential to improve management of system configuration.
- Participate in compliance audits and remediate issues identified as required.
- Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP)
- Support Director, Claims Operations and Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
- Support Manager, System Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
- Education: Bachelor of Science degree in health care, business administration, or related field preferred. In lieu of a bachelor’s degree an combination of college course work and 7+ years of experience in managed care or a health plan organization demonstrating ascending roles of responsibility will be considered.
- Advanced knowledge of health plan medical benefits, provider reimbursement methodologies, medical, dental and vision terminology, advanced knowledge of claim adjudication and benefit plan application for Medicare Advantage plans.
- Advanced knowledge of CPT, ICD-9, ICD-10 and HCPS coding systems.
- Uses standard office equipment and must be able to operate a motor vehicle and possess a valid driver's license.
- Participates in all project related reporting and communication to the steering committee and other stakeholders.
- Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
- Clearly articulates assignments and direction
- Foster teamwork
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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